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General NPI Number Information
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NPI Number | 1184313264
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Entity Type | Organization
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Legal Business Name | SARAH LENNOX, LICSW, LLC
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 125 CHURCH ST UNIT 90-293
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City | PEMBROKE
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State | MA
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Zip | 02359-1991
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Country | US
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Telephone | 339-244-0096
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Fax | 339-244-0980
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Provider Business Mailing Address
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Address Line | 125 CHURCH ST UNIT 90-293
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City | PEMBROKE
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State | MA
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Zip | 02359-1991
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Country | US
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Telephone | 339-244-0096
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Fax | 339-244-0980
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | SARAH LENNOX
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Credential | LICSW
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Telephone | 339-244-0096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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